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1275998858
JESSICA JACKSON
LAS CRUCES, NM
NPI
1275998858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 38397)
Enumeration Date
2015-12-23
Last Update Date
2020-01-22
Business Address
JESSICA JACKSON
1955 N VALLEY DR
LAS CRUCES, NM 88007-5154
Phone number: 575-523-2772
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Mailing Address
JESSICA JACKSON
PO BOX 370
HATCH, NM 87937-0370
Phone number: 575-267-3280
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